Organization
COASTAL BEND EMERGENCY SERVICES ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDGAR L. CORTES M.D. (PRESIDENT)
(361) 855-8201
Entity
Organization
Contact information
Practice address
3533 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1721
(361) 694-5100
Mailing address
3435 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1728
(361) 855-8201
(361) 855-5381
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00D31C
BLUE CROSS BLUE SHIELD
TX
01
—
022891801
CSHCN TPI
TX
05
—
022891802
—
TX
Enumeration date
07/27/2006
Last updated
11/09/2012
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